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. 2021 Dec 26;9(36):11504-11508.
doi: 10.12998/wjcc.v9.i36.11504.

Advantages and issues of concern regarding approaches to peripheral nerve block for total hip arthroplasty

Marco Crisci  1 , Arturo Cuomo  1 , Cira Antonietta Forte  1 , Sabrina Bimonte  1 , Gennaro Esposito  1 , Maura C Tracey  2 , Marco Cascella  1
Affiliations

Advantages and issues of concern regarding approaches to peripheral nerve block for total hip arthroplasty

Marco Crisci et al. World J Clin Cases. .

Abstract

In older patients with comorbidities, hip fractures are both an important and debilitating condition. Since multimodal and multidisciplinary perioperative strategies can hasten functional recovery after surgery improving clinical outcomes, the choice of the most effective and safest pathway represents a great challenge. A key point of concern is the anesthetic approach and above all the choice of the locoregional anesthesia combined with general or neuraxial anesthesia.

Keywords: Enhanced recovery after surgery; Hip fracture; Multimodal therapy; Peripheral regional techniques; Regional analgesia techniques.

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Conflict of interest statement

Conflict-of-interest statement: The authors have no financial relationships to disclose.

Figures

Figure 1
Figure 1
Sonoanatomy of the sciatic nerve block (parasacral approach). PM: Piriformis muscle; GMM: Gluteus maximus muscle. Sciatic nerve (white arrow); Sacral bone (white arrowheads).
Figure 2
Figure 2
Sonoanatomy of the pericapsular nerve group (PENG) block. IPE: Iliopubic eminence (and white arrow arrowheads); FA: Femoral artery; FV: Femoral vein; PT: Psoas tendon.
See this image and copyright information in PMC

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